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1831310382
MARY E BACEVICH
ALBUQUERQUE, NM
NPI
1831310382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209001262)
Enumeration Date
2007-05-01
Last Update Date
2011-11-30
Business Address
-- MARY E BACEVICH N.P.
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1125
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Mailing Address
-- MARY E BACEVICH N.P.
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1125
Copy
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